Diagnósticos de enfermería de incontinencia urinaria en pacientes con accidente vascular cerebral

Leandro, Telma Alteniza; Araujo, Thelma Leite de; Cavalcante, Tahissa Frota; Lopes, Marcos Venícios de Oliveira; Oliveira, Tyane Mayara Ferreira de; Lopes, Ana Cecília Menezes

doi:10.1590/S0080-623420150000600007

Acessibilidade / Reportar erro

Brasil

Revista da Escola de Enfermagem da USP

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 49 (6) • Dic 2015 • https://doi.org/10.1590/S0080-623420150000600007 copiar

Diagnósticos de enfermería de incontinencia urinaria en pacientes con accidente vascular cerebral

Autoría SCIMAGO INSTITUTIONS RANKINGS

Resumen

OBJETIVO

Identificar la prevalencia de los diagnósticos de enfermería Incontinencia urinaria de esfuerzo (IUE), Incontinencia urinaria de urgencia (IUU), Incontinencia urinaria funcional (IUF), Incontinencia urinaria por transborde (IUT) e Incontinencia urinaria refleja (IUR) y sus características definidoras en pacientes con Accidente Vascular Cerebral.

MÉTODO

Estudio transversal, con 156 pacientes atendidos en ambulatorio neurológico. Los datos fueron recogidos en entrevista y remitidos a enfermeros para inferencia diagnóstica.

RESULTADOS

De los pacientes evaluados, el 92,3% presentaron por lo menos uno de los diagnósticos del estudio, IUT presentó mayor prevalencia (72,4%), seguido de IUF (53,2%), IUR (50,0%), IUU (41,0%) e IUE (37,8%). Distensión de la vejiga y relatos de incapacidad de llegar al baño a tiempo de evitar pérdida de orina fueron las características definidoras más prevalentes. Se verificó asociación estadísticamente significativa de las características definidoras con los diagnósticos estudiados.

CONCLUSIÓN

Los cinco diagnósticos de incontinencia fueron identificados en los pacientes evaluados, presentando prevalencias distintas.

Descriptores
Diagnóstico de Enfermería; Incontinencia Urinaria; Accidente Cerebrovascular

	Training 1				Training 2
ND	E	FN	FP	T	E	FN	FP	T
Nurse 1
SUI	1	0	0	1	1	0	0	1
UUI	0.8974	0	0.5	-	1	0	0	1
FUI	0.8974	0.0555	0.1428	2.1413	0.9555	0.0555	0	0
OUI	0.9743	0	0.0476	-	1	0	0	1
RUI	0.92	0.1666	0	0	1	0	0	1
Nurse 2
SUI	0.9230	0.1666	0	0	1	0	0	1
UUI	0.9743	0	0.0555	-	1	0	0	1
FUI	0.8974	0.1666	0.0476	0.3531	1	0	0	1
OUI	0.9743	0.0555	0	0	1	0	0	1
RUI	1	0	0	1	1	0	0	1
Nurse 3
SUI	1	0	0	1	1	0	0	1
UUI	0.9743	0	0.0555	-	1	0	0	1
FUI	0.8461	0.1666	0.1428	0.9112	0.9743	0	0.0476	0
OUI	0.8974	0	0.1904	-	1	0	0	1
RUI	1	0	0	1	1	0	0	1
Nurse 4
SUI	0.9230	0	0.1428	-	1	0	0	1
UUI	0.7179	0.1428	0.4444	1.7714	1	0	0	1
FUI	0.9743	0	0.0476	-	1	0	0	1
OUI	0.8461	0	0.2857	-	1	0	0	1
RUI	1	0	0	1	1	0	0	1

Variables	N	%		N	%	P^* * Pearson's Chi-square test;	PR^ Prevalence ratio. Note: (N = 156).
Diagnostics			Defining characteristics
Overflow urinary incontinence	113	72.4	Bladder distention	111	98.2	0.001	3.39
			Nocturia	98	86.7	<0.001	3.76
			Involuntary leakage of small volume of urine	47	41.5	<0.001	1.60
			High post-void residual volume	38	33.6	<0.001	1.52
Functional urinary incontinence	83	53.2	Voiding prior to reaching toilet	67	80.7	<0.001	5.41
			Sensation of need to void	67	80.7	<0.001	0.51
			Time between sensation of urge and ability to reach toilet is too short and involuntary voiding	66	79.5	<0.001	5.29
			Completely empties bladder	62	74.6	0.114	0.76
			Early morning urinary incontinence	40	48.1	<0.001	5.41
Reflex urinary incontinence	78	50.0	Inability to voluntarily inhibit voiding	55	70.5	<0.001	2.33
			Sensation of urgency to void without voluntary inhibition of bladder contraction	41	52.5	<0.001	3.00
			Absence of urge to void	28	35.8	0.079	1.33
			Sensation of bladder fullness	22	28.2	0.002	1.72
			Inability to voluntarily initiate voiding	19	24.3	<0.001	2.19
			Absence of voiding sensation	17	21.7	<0.001	2.13
			Absence of sensation of bladder fullness	8	10.2	0.004	2.11
			Predictable pattern of voiding	6	7.6	0.012	2.08
Urge urinary incontinence	64	41.0	Inability to reach toilet in time to avoid urine loss	60	93.7	<0.001	19.41
			Urinary urgency	58	90.6	<0.001	8.50
			Involuntary loss of urine with bladder spasms	29	45.3	<0.001	3.48
			Involuntary loss of urine with bladder contractions	29	45.3	<0.001	3.48
Stress urinary incontinence	59	37.8	Involuntary leakage of small volume of urine with sneezing	38	64.4	<0.001	5.61
			Involuntary leakage of small volume of urine with coughing	36	61.0	<0.001	5.21
			Involuntary leakage of small volume of urine with laughing	28	47.4	<0.001	4.12
			Involuntary leakage of small volume of urine in the absence of overdistended bladder	19	32.2	<0.001	3.42
			Involuntary leakage of small volume of urine on exertion	18	30.5	<0.001	3.36
			Involuntary leakage of small volume of urine in the absence of detrusor contraction	11	18.6	<0.001	3.02

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Telma Alteniza Leandro. Av. João Pessoa, 3912, Apto 08 - Bairro Damas. CEP 60425-812 - Fortaleza, CE, Brazil.telmaleandro21@yahoo.com.br